Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jim Wallace & Associates, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1073831350

Jim Wallace & Associates, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Edmond, Oklahoma. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 E 9th St Ste 4
Edmond, OK 73034-5773
Phone: (405) 665-4385
Fax: (405) 665-6396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1073831350
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJim Wallace & Associates, Inc
Authorized official Teresa Rue-Wallace — Owner/Ceo/President/Exec. Director · (405) 665-4385
Other names The Jetty Counseling Center; The Jetty Counseling Center
NPI enumeratedMay 11, 2010
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025
Mailing address202 S Washita Ave, Wynnewood, OK 73098-7820

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